| Cumberland Adult Medicine Pllc | |
|
597 Shelbyville Rd Mcminnville TN 37110-7540 | |
| (931) 815-6000 | |
| (931) 815-6007 |
| Full Name | Cumberland Adult Medicine Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 597 Shelbyville Rd, Mcminnville, Tennessee |
| Authorized Official Name and Position | Susan Harlow (SOLE MEMBER) |
| Authorized Official Contact | 9318156000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cumberland Adult Medicine Pllc 597 Shelbyville Rd Mcminnville TN 37110-7540 Ph: (931) 815-6000 | Cumberland Adult Medicine Pllc 597 Shelbyville Rd Mcminnville TN 37110-7540 Ph: (931) 815-6000 |
| NPI Number | 1578986527 |
|---|---|
| Provider Enumeration Date | 01/28/2014 |
| Last Update Date | 12/07/2020 |
| Medicare PECOS PAC ID | 9739472994 |
|---|---|
| Medicare Enrollment ID | O20160726000410 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578986527 | NPI | - | NPPES |
| 1512478 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 20238 (Tennessee) | Primary |
| Provider Name | Susan B Harlow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154341543 PECOS PAC ID: 8325948144 Enrollment ID: I20040109000367 |
| Provider Name | Elizabeth A Wilder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649603135 PECOS PAC ID: 0749413714 Enrollment ID: I20140428000484 |
| Provider Name | Aryn Kate Snow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154083426 PECOS PAC ID: 5092105569 Enrollment ID: I20211124001978 |
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